Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
  • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
  • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
  • C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
  • C07D213/62—Oxygen or sulfur atoms
  • C07D213/63—One oxygen atom
  • C07D213/64—One oxygen atom attached in position 2 or 6
  • C07D213/643—2-Phenoxypyridines; Derivatives thereof
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
  • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
  • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
  • C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
  • C07D213/62—Oxygen or sulfur atoms
  • C07D213/63—One oxygen atom
  • C07D213/64—One oxygen atom attached in position 2 or 6
• • A—HUMAN NECESSITIES
  • A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
  • A01N—PRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
  • A01N43/00—Biocides, pest repellants or attractants, or plant growth regulators containing heterocyclic compounds
  • A01N43/34—Biocides, pest repellants or attractants, or plant growth regulators containing heterocyclic compounds having rings with one nitrogen atom as the only ring hetero atom
  • A01N43/40—Biocides, pest repellants or attractants, or plant growth regulators containing heterocyclic compounds having rings with one nitrogen atom as the only ring hetero atom six-membered rings
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
  • A61K31/4412—Non condensed pyridines; Hydrogenated derivatives thereof having oxo groups directly attached to the heterocyclic ring
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
  • A61P1/16—Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P11/00—Drugs for disorders of the respiratory system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P13/00—Drugs for disorders of the urinary system
  • A61P13/08—Drugs for disorders of the urinary system of the prostate
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P13/00—Drugs for disorders of the urinary system
  • A61P13/12—Drugs for disorders of the urinary system of the kidneys
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P17/00—Drugs for dermatological disorders
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P17/00—Drugs for dermatological disorders
  • A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
  • A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system

Definitions

• This disclosure relates generally to methods for synthesizing pirfenidone. More specifically, this disclosure relates to a process for preparing pirfenidone using a bromobenzene reagent having less than about 0.15% by weight dibromobenzene and using copper(I) oxide as a catalyst, instead of a copper (I) or (II) halide.
• Pirfenidone is a non-peptide synthetic molecule with a molecular weight of 185.23 daltons. Its chemical elements are expressed as C 12 H 11 NO, and its structure is known. The synthesis of pirfenidone has been worked out. Pirfenidone is manufactured and being evaluated clinically as a broad-spectrum anti-fibrotic drug. Pirfenidone has anti-fibrotic properties via: decreased TNF- ⁇ expression, decreased PDGF expression, and decreased collagen expression.
• INDs pirfenidone Investigational New Drug Applications
• Phase II human investigations have been initiated or completed for pulmonary fibrosis, renal glomerulosclerosis, and liver cirrhosis. There have been other Phase II studies that used pirfenidone to treat benign prostate hypertrophy, hypertrophic scarring (keloids), and rheumatoid arthritis.
• Pirfenidone One important use of pirfenidone is known to be providing therapeutic benefits to patients suffering from fibrosis conditions such as Hermansky-Pudlak Syndrome (HPS) associated pulmonary fibrosis and idiopathic pulmonary fibrosis (IPF).
• HPS Hermansky-Pudlak Syndrome
• IPF idiopathic pulmonary fibrosis
• Pirfenidone demonstrates a pharmacologic ability to prevent or remove excessive scar tissue found in fibrosis associated with injured tissues including that of lungs, skin, joints, kidneys, prostate glands, and livers.
• Published and unpublished basic and clinical research suggests that pirfenidone may safely slow or inhibit the progressive enlargement of fibrotic lesions, remove pre-existing fibrotic lesions, and prevent formation of new fibrotic lesions following tissue injuries.
• Pirfenidone is a potent inhibitor of fibrogenic cytokines and TNF- ⁇ . It is well documented that pirfenidone inhibits excessive biosynthesis or release of various fibrogenic cytokines such as TGF- ⁇ 1, bFGF, PDGF, and EGF. Zhang S et al., Australian New Eng. J. Ophthal., 26:S74-S76 (1998). Experimental reports also show that pirfenidone blocks the synthesis and release of excessive amounts of TNF- ⁇ from macrophages and other cells. Cain et al., Int. J. Immunopharm., 20:685-695 (1998).
• Pirfenidone has been studied in clinical trials for use in treatment of IPF. Thus, there is a need for a synthetic scheme that provides pirfenidone having sufficient purity as an active pharmaceutical ingredient (API) and involves efficient and economical processes. Prior batches of pirfenidone were shown to have residual solvent traces of ethyl acetate (e.g., about 2 ppm) and butanol.
• API active pharmaceutical ingredient
• pirfenidone More specifically, disclosed herein is a method of synthesizing pirfenidone comprising admixing bromobenzene, 5-methyl-2-pyridone, cuprous oxide, and an organic solvent under conditions sufficient to form pirfenidone, wherein the bromobenzene comprises less than about 0.15% by weight dibromobenzene.
• the admixing can be performed under elevated temperatures, for example at least about 100° C.
• the organic solvent can comprise dimethyl formamide.
• the method further comprises washing the pirfenidone with a saline solution.
• the saline solution can comprise about 10 wt % to about 15 wt % sodium chloride.
• the method further comprises extracting the pirfenidone with an extracting solvent.
• the extracting solvent can comprise toluene.
• the method further comprises admixing a base with the bromobenzene, 5-methyl-2-pyridone, cuprous oxide, and organic solvent.
• the base can be an inorganic base.
• the inorganic base comprises a carbonate, and more specifically, potassium carbonate.
• the method further comprises crystallizing the pirfenidone from a solvent mixture comprising heptanes and toluene to form purified pirfenidone.
• the method can also further comprise recrystallizing the purified pirfenidone by dissolving at least a portion of the purified pirfenidone in an acidic aqueous solution at an elevated temperature to form a pirfenidone solution; adding a basic solution to the pirfenidone solution until the pH is at least about 11; and cooling the basic pirfenidone solution to a temperature below about 20° C. to form recrystallized pirfenidone.
• the elevated temperature is at least about 40° C.
• the acidic aqueous solution comprises hydrochloric acid.
• the basic solution comprises sodium hydroxide.
• the basic pirfenidone solution is cooled to a temperature below about 10° C.
• the purifying of the pirfenidone is performed in the absence of ethyl acetate and butanol.
• the pirfenidone prepared by the methods disclosed herein has a purity of at least 98% by weight or molar ratio and is essentially free of or free of ethyl acetate and butanol, where essentially free of describes a product where neither ethyl acetate nor butanol is intentionally added during the synthetic processes, as described herein.
• a pirfenidone composition essentially free of ethyl acetate and/or butanol can permit the presence of trace amounts of ethyl acetate and/or butanol which are carry-over impurities, e.g. present in the reagents or starting materials used in a synthetic process such as one described herein.
• the pirfenidone prepared can have a purity of at least 99%, and more preferably, at least 99.9% by weight or molar ratio.
• pirfenidone having less than about 0.1% by weight or molar ratio of a di(5-methyl-2-pyridone)benzene impurity, and preferably less than about 0.05% by weight or molar ratio of a di(5-methyl-2-pyridone)benzene impurity.
• pirfenidone having less than about 0.1% by weight or molar ratio of an impurity which elutes at a relative retention time of about 1.95 compared to the retention time of pirfenidone, when analyzed by liquid chromatography.
• the pirfenidone has less than about 0.05% by weight or molar ratio of the impurity with the relative retention time of 1.95.
• pirfenidone having less than about 0.1% by weight or molar ratio of an impurity which elutes at a relative retention time of about 1.24 compared to the retention time of pirfenidone, when analyzed by liquid chromatography.
• the pirfenidone has less than about 0.05% by weight or molar ratio of the impurity with the relative retention time of 1.24.
• compositions comprising pirfenidone as disclosed herein and a pharmaceutically acceptable excipient are described.
• the process involves using a cuprous oxide catalyst to couple 5-methyl-2-pyridone and bromobenzene in an organic solvent. Without intending to be limited by any particular theory, it is believed that the purity of the bromobenzene is important, as amounts of a dibromobenzene impurity in the bromobenzene can lead to dimer-type byproducts, which can complicate the purification of the resulting pirfenidone. These dimer-type byproducts cannot be in a product intended as to be marketed as an active pharmaceutical ingredient (API), and they are difficult to remove from the intended pirfenidone product.
• API active pharmaceutical ingredient
• the bromobenzene used in the disclosed processes preferably have an amount of dibromobenzene of less than about 0.15% by weight or molar ratio, and more preferably less than about 0.1% by weight or molar ratio or less than 0.05% by weight or molar ratio.
• the synthesis of pirfenidone is shown in Scheme 1, below.
• impurities and purity of compounds are reported as a percentage (%). Unless indicated otherwise for specific cases, this percentage can be assessed based upon the weight of the sample or composition (e.g., a wt %), or based upon a molar ratio. Molar ratios (e.g., molar percentages) can be measured using these chromatographic techniques, such as high pressure/high performance liquid chromatography (HPLC), gas chromatography (GC), or capillary electrophoresis (CE). Molar ratios are molecular ratios of the specified compound to the total compounds present.
• HPLC high pressure/high performance liquid chromatography
• GC gas chromatography
• CE capillary electrophoresis
• the bromobenzene preferably is pure monobromobenzene.
• the bromobenzene preferably is free of 1,4-dibromobenzene.
• the bromobenzene preferably is free of all dibromobenzenes (i.e., 1,2-dibromobenzene, 1,3-dibromobenzene, and 1,4-dibromobenzene).
• the bromobenzene preferably is free of tribromobenzenes (i.e., 1,2,3-tribromobenzene, 1,2,4-tribromobenzene, and 1,3,5-tribromobenzene).
• the bromobenzene preferably is free of tetrabromobenzenes (i.e., 1,2,3,4-tetrabromobenzene, 1,2,3,5-tetrachlorobenzene, and 1,2,4,5-tetrabromobenzene).
• the bromobenzene preferably is free of pentabromobenzene and hexabromobenzene.
• the organic solvent of the coupling reaction can be any compatible organic solvent, such as an aprotic polar solvent.
• suitable organic solvent such as an aprotic polar solvent.
• Non-limiting examples include tetrahydrofuran, diethyl ether, dimethyl formamide, dimethylsulfoxide, dichloromethane, dimethylsulfoxide, sulfolane, and mixtures thereof.
• the organic solvent comprises dimethyl formamide.
• Choice of the appropriate solvent can depend upon the temperature at which the reaction is run. A solvent having a boiling point above or around that of the reaction temperature is preferred.
• the reaction can be performed at elevated temperatures.
• An elevated temperature is any temperature above room temperature (about 25° C.), and can be at least about 50° C., at least about 70° C., at least about 75° C., at least about 80° C., at least about 85° C., at least about 90° C., at least about 95° C., at least about 100° C., at least about 105° C., at least about 110° C., at least about 115° C., at least about 120° C., at least about 125° C., at least about at least about 130° C., or at least about 135° C., for example.
• the reaction can be performed in the presence of a base.
• the base can be an inorganic base.
• Inorganic bases include, but are not limited to, lithium hydroxide, potassium hydroxide, sodium hydroxide, sodium carbonate, potassium carbonate, sodium bicarbonate, potassium bicarbonate, and mixtures thereof.
• the base comprises potassium carbonate.
• the pirfenidone can optionally be washed with a saline solution. This washing step can remove salts used or formed during the coupling reaction.
• a saline solution can be a sodium chloride solution, for example a saturated brine solution.
• a high concentration sodium chloride solution provides low yield loss of pirfenidone in the aqueous layer, but a low concentration sodium chloride solution provides better compatibility with dimethyl formamide.
• an optimal sodium chloride solution concentration is high enough to minimize loss of pirfenidone in the aqueous layer, but low enough to allow a maximum amount of dimethyl formamide in the aqueous layer.
• the sodium chloride solution is in a range of about 10 wt % to about 20 wt % sodium chloride, based on the weight of the solution.
• the pirfenidone can additionally or alternatively be extracted with an organic solvent to remove impurities, such as residual organic solvent from the coupling reaction (e.g., dimethyl formamide).
• an extracting organic solvent include, but are not limited to, toluene, diethyl ether, tetrahydrofuran, methylene chloride, and mixtures thereof.
• the pirfenidone is extracted with toluene. Extraction with toluene can allow for residual dimethyl formamide to remain in the aqueous layer.
• the pirfenidone can be precipitated to form a more purified form of pirfenidone.
• Crude pirfenidone can be dissolved in a minimum amount of toluene and heptanes and heated to, e.g., about 50° C. to about 100° C. The solution is slowly cooled to about ⁇ 5° C. to about 5° C. to allow precipitation of the pirfenidone.
• the resulting solid pirfenidone precipitate can be collected via filtration and dried.
• the pirfenidone can additionally or alternatively be crystallized to form a more purified pirfenidone.
• the pirfenidone can be dissolved or partially dissolved in an acidic solution at an elevated temperature, such as at least about 35° C., at least about 40° C., or about 40° C. to about 50° C.
• the acidic solution can comprise any compatible inorganic or organic acid.
• the acidic solution preferably comprises an inorganic acid.
• contemplated inorganic acids include sulfuric acid, hydrochloric acid, hydrobromic acid, nitric acid, phosphoric acid, and mixtures thereof.
• the acidic solution comprises hydrochloric acid.
• the resulting acidic pirfenidone solution can then be treated with addition of a basic solution until the pH of the pirfenidone solution is at least about 11.
• the basic solution can comprise any compatible inorganic or organic base.
• the basic solution is preferably an inorganic base.
• contemplated inorganic bases include lithium hydroxide, potassium hydroxide, sodium hydroxide, sodium carbonate, potassium carbonate, sodium bicarbonate, potassium bicarbonate, and mixtures thereof.
• the basic solution comprises sodium hydroxide.
• the basic pirfenidone solution can then be cooled slowly to less than about 10° C., or about 0° C. to about 9° C.
• the resulting crystallized pirfenidone can then be collected via filtration and dried.
• the pirfenidone is essentially free of or free of ethyl acetate or butanol, for example from having been prepared without the use of ethyl acetate and/or butanol in any step.
• the pirfenidone has less than about 30 ppm toluene, heptanes, or both, and preferably has less than about 20 ppm toluene, heptanes, or both.
• the prepared pirfenidone has a purity of at least 98% by weight or molar ratio, and can have a purity of preferably at least 99% by weight or molar ratio or at least 99.5% by weight or molar ratio or at least 99.6% by weight or molar ratio, at least 99.7% by weight or molar ratio, at least 99.8% by weight or molar ratio, or at least 99.9% by weight or molar ratio.
• Pirfenidone according to the disclosure herein for example prepared using a method disclosed herein, can additionally or alternatively have less than about 0.1% by weight or molar ratio, less than about 0.05% by weight or molar ratio, less than about 0.04% by weight or molar ratio, less than about 0.03% by weight or molar ratio, less than about 0.02% by weight or molar ratio, or less than about 0.01% by weight or molar ratio of a di(5-methyl-2-pyridinone)benzene impurity.
• di(5-methyl-2-pyridinone)benzene impurities include one or more of
• the pirfenidone can additionally or alternatively have less than about 0.1% by weight or molar ratio, less than about 0.05% by weight or molar ratio, less than about 0.04% by weight or molar ratio, less than about 0.03% by weight or molar ratio, less than about 0.02% by weight or molar ratio, or less than about 0.01% by weight or molar ratio of an impurity that has a relative retention time (RRT) of about 1.95 compared to the retention time of pirfenidone, when analyzed by liquid chromatography.
• RRT relative retention time
• the pirfenidone can additionally or alternatively have less than about 0.1% by weight or molar ratio, less than about 0.05% by weight or molar ratio, less than about 0.04% by weight or molar ratio, less than about 0.03% by weight or molar ratio, less than about 0.02% by weight or molar ratio, or less than about 0.01% by weight or molar ratio of an impurity that has a relative retention time (RRT) of about 1.24 compared to the retention time of pirfenidone, when analyzed by liquid chromatography.
• RRT relative retention time
• LC liquid chromatography
• the mobile phases are Mobile Phase A (MPA) (200 ⁇ L phosphoric acid in 1000 mL water) and Mobile Phase B (MPB) (acetonitrile), which are pumped through the column at a flow rate of 1.0 mL/min and column temperature of 35° C.
• MPA Mobile Phase A
• MPB Mobile Phase B
• the mixture of MPA and MPB was a gradient profile over the course of the 25 minute run, as follows:
• pirfenidone While it is possible for the pirfenidone described herein to be administered alone, it may be preferable to formulate pirfenidone as pharmaceutical compositions.
• the pharmaceutical compositions can be useful for treating or preventing inflammatory conditions, e.g., conditions associated with p38 activity or cytokine activity or any combination thereof.
• a pharmaceutical composition is any composition that may be administered in vitro or in vivo or both to a subject in order to treat or ameliorate a condition.
• a pharmaceutical composition may be administered in vivo.
• a subject may include one or more cells or tissues, or organisms.
• a preferred subject is a mammal.
• a mammal includes any mammal, such as by way of non-limiting example, cattle, pigs, sheep, goats, horses, camels, buffalo, cats, dogs, rats, mice, and humans.
• a highly preferred subject mammal is a human.
• the pharmaceutical compositions may be formulated with pharmaceutically acceptable excipients such as carriers, solvents, stabilizers, adjuvants, diluents, etc., depending upon the particular mode of administration and dosage form.
• the pharmaceutical compositions should generally be formulated to achieve a physiologically compatible pH, and may range from a pH of about 3 to a pH of about 11, preferably about pH 3 to about pH 7, depending on the formulation and route of administration. In alternative embodiments, it may be preferred that the pH is adjusted to a range from about pH 5.0 to about pH 8. More particularly, the pharmaceutical compositions may comprise a therapeutically or prophylactically effective amount of at least one compound as described herein, together with one or more pharmaceutically acceptable excipients.
• the pharmaceutical compositions may include a second active ingredient useful in the treatment or prevention of bacterial infection (e.g., a preservative, such as anti-bacterial or anti-microbial agents).
• Formulations are most typically solids, liquid solutions, emulsions or suspensions, while inhalable formulations for pulmonary administration are generally liquids or powders, with powder formulations being generally preferred.
• a preferred pharmaceutical composition may also be formulated as a lyophilized solid that is reconstituted with a physiologically compatible solvent prior to administration.
• Alternative pharmaceutical compositions may be formulated as syrups, creams, ointments, tablets, and the like.
• pharmaceutically acceptable excipient refers to an excipient for administration of a pharmaceutical agent, such as the compounds described herein.
• the term refers to any pharmaceutical excipient that may be administered without undue toxicity.
• compositions are determined in part by the particular composition being administered, as well as by the particular method used to administer the composition. Accordingly, there exists a wide variety of suitable formulations of pharmaceutical compositions (see, e.g., Remington's Pharmaceutical Sciences).
• Suitable excipients may be carrier molecules that include large, slowly metabolized macromolecules such as proteins, polysaccharides, polylactic acids, polyglycolic acids, polymeric amino acids, amino acid copolymers, and inactive virus particles.
• Other exemplary excipients include antioxidants (e.g., ascorbic acid), chelating agents (e.g., EDTA), carbohydrates (e.g., dextrin, hydroxyalkylcellulose, and/or hydroxyalkylmethylcellulose), stearic acid, liquids (e.g., oils, water, saline, glycerol and/or ethanol) wetting or emulsifying agents, pH buffering substances, and the like.
• Liposomes are also included within the definition of pharmaceutically acceptable excipients.
• compositions described herein may be formulated in any form suitable for an intended method of administration.
• tablets, troches, lozenges, aqueous or oil suspensions, non-aqueous solutions, dispersible powders or granules (including micronized particles or nanoparticles), emulsions, hard or soft capsules, syrups or elixirs may be prepared.
• Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions, and such compositions may contain one or more agents including sweetening agents, flavoring agents, coloring agents and preserving agents, in order to provide a palatable preparation.
• compositions particularly suitable for use in conjunction with tablets include, for example, inert diluents, such as celluloses, calcium or sodium carbonate, lactose, calcium or sodium phosphate; disintegrating agents, such as cross-linked povidone, maize starch, or alginic acid; binding agents, such as povidone, starch, gelatin or acacia; and lubricating agents, such as magnesium stearate, stearic acid or talc.
• inert diluents such as celluloses, calcium or sodium carbonate, lactose, calcium or sodium phosphate
• disintegrating agents such as cross-linked povidone, maize starch, or alginic acid
• binding agents such as povidone, starch, gelatin or acacia
• lubricating agents such as magnesium stearate, stearic acid or talc.
• Tablets may be uncoated or may be coated by known techniques including microencapsulation to delay disintegration and adsorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.
• a time delay material such as glyceryl monostearate or glyceryl distearate alone or with a wax may be employed as a coating or as a matrix.
• Formulations for oral use may be also presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example celluloses, lactose, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with non-aqueous or oil medium, such as glycerin, propylene glycol, polyethylene glycol, peanut oil, liquid paraffin or olive oil.
• an inert solid diluent for example celluloses, lactose, calcium phosphate or kaolin
• non-aqueous or oil medium such as glycerin, propylene glycol, polyethylene glycol, peanut oil, liquid paraffin or olive oil.
• compositions may be formulated as suspensions comprising a compound of the embodiments in admixture with at least one pharmaceutically acceptable excipient suitable for the manufacture of a suspension.
• compositions may be formulated as dispersible powders and granules suitable for preparation of a suspension by the addition of suitable excipients.
• Excipients suitable for use in connection with suspensions include suspending agents (e.g., sodium carboxymethylcellulose, methylcellulose, hydroxypropyl methylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth, gum acacia); dispersing or wetting agents (e.g., a naturally occurring phosphatide (e.g., lecithin), a condensation product of an alkylene oxide with a fatty acid (e.g., polyoxyethylene stearate), a condensation product of ethylene oxide with a long chain aliphatic alcohol (e.g., heptadecaethyleneoxycetanol), a condensation product of ethylene oxide with a partial ester derived from a fatty acid and a hexitol anhydride (e.g., polyoxyethylene sorbitan monooleate)); and thickening agents (e.g., carbomer, beeswax, hard paraffin or cetyl alcohol).
• the suspensions may also contain one or more preservatives (e.g., acetic acid, methyl or n-propyl p-hydroxy-benzoate); one or more coloring agents; one or more flavoring agents; and one or more sweetening agents such as sucrose or saccharin.
• preservatives e.g., acetic acid, methyl or n-propyl p-hydroxy-benzoate
• coloring agents e.g., acetic acid, methyl or n-propyl p-hydroxy-benzoate
• flavoring agents e.g., methyl or n-propyl p-hydroxy-benzoate
• sweetening agents such as sucrose or saccharin.
• the pharmaceutical compositions may also be in the form of oil-in water emulsions.
• the oily phase may be a vegetable oil, such as olive oil or arachis oil, a mineral oil, such as liquid paraffin, or a mixture of these.
• Suitable emulsifying agents include naturally-occurring gums, such as gum acacia and gum tragacanth; naturally occurring phosphatides, such as soybean lecithin, esters or partial esters derived from fatty acids; hexitol anhydrides, such as sorbitan monooleate; and condensation products of these partial esters with ethylene oxide, such as polyoxyethylene sorbitan monooleate.
• the emulsion may also contain sweetening and flavoring agents.
• Syrups and elixirs may be formulated with sweetening agents, such as glycerol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative, a flavoring or a coloring agent.
• sweetening agents such as glycerol, sorbitol or sucrose.
• Such formulations may also contain a demulcent, a preservative, a flavoring or a coloring agent.
• compositions may be in the form of a sterile injectable preparation, such as a sterile injectable aqueous emulsion or oleaginous suspension.
• a sterile injectable preparation such as a sterile injectable aqueous emulsion or oleaginous suspension.
• This emulsion or suspension may be formulated by a person of ordinary skill in the art using those suitable dispersing or wetting agents and suspending agents, including those mentioned above.
• the sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally acceptable diluent or solvent, such as a solution in 1,2-propane-diol.
• the sterile injectable preparation may also be prepared as a lyophilized powder.
• acceptable vehicles and solvents that may be employed are water, Ringer's solution, and isotonic sodium chloride solution.
• sterile fixed oils may be employed as a solvent or suspending medium.
• any bland fixed oil may be employed including synthetic mono- or diglycerides.
• fatty acids e.g., oleic acid
• a pharmaceutically acceptable salt of a compound described herein may be dissolved in an aqueous solution of an organic or inorganic acid, such as 0.3 M solution of succinic acid, or more preferably, citric acid. If a soluble salt form is not available, the compound may be dissolved in a suitable co-solvent or combination of co-solvents. Examples of suitable co-solvents include alcohol, propylene glycol, polyethylene glycol 300, polysorbate 80, glycerin and the like in concentrations ranging from about 0 to about 60% of the total volume. In one embodiment, the active compound is dissolved in DMSO and diluted with water.
• the pharmaceutical composition may also be in the form of a solution of a salt form of the active ingredient in an appropriate aqueous vehicle, such as water or isotonic saline or dextrose solution.
• an appropriate aqueous vehicle such as water or isotonic saline or dextrose solution.
• compounds which have been modified by substitutions or additions of chemical or biochemical moieties which make them more suitable for delivery e.g., increase solubility, bioactivity, palatability, decrease adverse reactions, etc.
• esterification glycosylation, PEGylation, etc.
• pirfenidone described herein may be formulated for oral administration in a lipid-based formulation suitable for low solubility compounds.
• Lipid-based formulations can generally enhance the oral bioavailability of such compounds.
• a preferred pharmaceutical composition comprises a therapeutically or prophylactically effective amount of pirfenidone described herein, together with at least one pharmaceutically acceptable excipient selected from the group consisting of medium chain fatty acids and propylene glycol esters thereof (e.g., propylene glycol esters of edible fatty acids, such as caprylic and capric fatty acids) and pharmaceutically acceptable surfactants, such as polyoxyl 40 hydrogenated castor oil.
• pirfenidone described herein together with at least one pharmaceutically acceptable excipient selected from the group consisting of medium chain fatty acids and propylene glycol esters thereof (e.g., propylene glycol esters of edible fatty acids, such as caprylic and capric fatty acids) and pharmaceutically acceptable surfactants, such as polyoxyl 40 hydrogenated castor oil.
• cyclodextrins may be added as aqueous solubility enhancers.
• Preferred cyclodextrins include hydroxypropyl, hydroxyethyl, glucosyl, maltosyl and maltotriosyl derivatives of ⁇ -, ⁇ -, and ⁇ -cyclodextrin.
• a particularly preferred cyclodextrin solubility enhancer is hydroxypropyl-o-cyclodextrin (BPBC), which may be added to any of the above-described compositions to further improve the aqueous solubility characteristics of the compounds of the embodiments.
• BPBC hydroxypropyl-o-cyclodextrin
• the composition comprises about 0.1% to about 20% hydroxypropyl-o-cyclodextrin, more preferably about 1% to about 15% hydroxypropyl-o-cyclodextrin, and even more preferably from about 2.5% to about 10% hydroxypropyl-o-cyclodextrin.
• solubility enhancer employed will depend on the amount of the compound of the invention in the composition.
• a pharmaceutical composition contains a total amount of the active ingredient(s) sufficient to achieve an intended therapeutic effect when used with a suitable dosing regimen. More specifically, in some embodiments, the pharmaceutical composition contains a therapeutically effective amount.
• the total amounts of pirfenidone that may be combined with the carrier materials to produce a unitary dosing form will vary depending upon the host treated and the particular mode of administration.
• the compositions are formulated in view of contemplated dosing regimens so that a dose of between 0.01 to 100 mg/kg body weight/day of pirfenidone is administered to a patient receiving the compositions.
• the total daily dose may be provided in divided daily doses (e.g.
• sub-therapeutic dosage amounts e.g., 267 mg per dosage form, administered as three dosage forms taken three times per day for a total of nine dosage forms administered, e.g. 2403 mg/day pirfenidone.
• the resulting slurry was filtered in a Nutsche filter in order to remove salts.
• the filter cake was rinsed twice with toluene.
• the mother liquor and process liquor were collected in Vessel (A).
• a sodium chloride solution (15%) was charged into the product solution.
• the pH was adjusted to greater than or equal to 11.5 using a 32% sodium hydroxide solution.
• the mixture was then agitated. After agitation was stopped, the mixture was allowed to settle for at least 30 minutes to allow the two phases to separate.
• the organic layer was separated and the aqueous layer was extracted with toluene.
• the toluene extraction was added to the organic layer.
• the combined organics were then washed with a 15% sodium chloride solution and agitated for at least 15 minutes.
• the agitation was stopped and the layers were allowed to settle for at least 30 minutes.
• the organic layer was separated from the aqueous layer, and then carbon treated by flowing it through Zeta Carbon filters for 2 hours at 20-25° C.
• the carbon treated solution was then concentrated under vacuum to remove all water and much of the toluene.
• Heptanes were then added to the concentrated solution, and it was heated to about 80° C.
• the solution was slowly cooled to about 0° C. over at least 7 hours.
• the pirfenidone precipitated out of the solution was collected by filtration and dried, using a Nutsche filter/drier.
• the pirfenidone cake was washed twice with a mixture of toluene and heptanes (at 0° C.), then vacuum dried at a temperature of about 42° C.
• the crude pirfenidone was formed in about 85% yield.
• Pirfenidone, a 32% hydrochloride solution, and deionized water were charged in an inert reactor.
• the mixture was heated to about 45° C., then a 32% sodium hydroxide solution was titrated into the mixture until the pH was at least 11.
• the temperature of the mixture was maintained at about 45° C. during the titration.
• the mixture was then cooled slowly to 5° C., over the course of at least 2 hours.
• the pirfenidone crystallized from this cooled solution and was isolated in a Nutsche filter/drier.
• the pirfenidone cake was washed twice with deionized water (at 5° C.).
• the pirfenidone was then vacuum dried in the filter/drier at a temperature of about 45° C.
• the pirfenidone was also milled through a loop mill in order to reduce the particle size to less than 150 ⁇ m.
• the resulting pirfenidone was then analyzed and the only residual solvents observed were toluene and heptanes at about 10 to 13 ppm. No ethyl acetate or butanol was detected in the pirfenidone.
• the amount of bis-conjugate in the purified pirfenidone was 0.03% or less. All impurities of the purified pirfenidone were less than about 0.05%.
• compositions can also consist essentially of, or consist of, any combination of the recited steps, components or materials, unless described otherwise.

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